CBPR Inquiry to Reduce Smoking Among Native Hawaiian and Filipina Girls in Hawaii

描述（由申请人提供）：虽然夏威夷原住民和菲律宾裔美国人的癌症死亡率正在上升，但大多数其他亚洲和太平洋岛民的死亡率正在下降，这种持续的增长部分是由于夏威夷原住民和菲律宾女性肺癌的增加。同样，尽管与非亚太裔青年相比，亚太裔青年的烟草使用率要低得多，但如果按种族和性别分类，就会出现差异。与其他亚太裔女孩相比，夏威夷和菲律宾女孩的吸烟率很高。一些种族群体的高吸烟率表明，青少年预防计划并没有达到我国种族多样化人口的很大一部分。需要进行研究，以更好地了解夏威夷和菲律宾土著女孩的吸烟态度、行为和社会文化因素，以便制定“最有效”的烟草教育计划。该试点项目旨在利用基于社区的参与性研究方法，调查夏威夷土著和菲律宾女孩中可能与高烟草使用率相关的知识、态度、观念和社会文化因素，以开发未来以创新文化为基础的青年反吸烟预防和戒烟干预措施。该项目与六个社区组织合作，这些组织代表夏威夷土著和菲律宾社区的倡导者，促进青年健康，以及夏威夷的烟草预防和控制。合作伙伴将为规划和实施这一项目提供指导和协助。同伴辅导员将领导12-15个不同种族的焦点小组，该小组由6-10名当地夏威夷和菲律宾女孩组成，这些女孩来自社区伙伴已有关系的初中和高中。焦点小组提出的问题将涵盖吸烟的促进因素和障碍，以及防止或阻止同龄人吸烟的策略。数据分析将促进定性程序的可靠性和有效性。PL和co-PL将分别审查笔记和录音，完成的数据分析表格将一起审查，以比较共同主题，讨论和解决差异。研究结果将为青少年主导的反吸烟计划提供信息，该计划与夏威夷和菲律宾土著女孩有关。

DESCRIPTION (provided by applicant): While cancer mortality is increasing for Native Hawaiians and Filipino Americans, rates are decreasing for most other Asian and Pacific Islanders, and this continued increase is due in part to the increase in lung cancer for Native Hawaiian and Filipino females. Likewise, although tobacco use prevalence among AAPI youth is much lower compared to non-AAPI youth, disparities appear when the ethnicities and gender are disaggregated. Native Hawaiian and Filipino girls smoke at high rates compared to other AAPI girls. The high smoking rates among some ethnic groups indicate that youth prevention programs are not reaching significant portions of our nation's ethnically diverse population. Research is needed to better understand smoking attitudes, behavior, and sociocultural factors among Native Hawaiian and Filipino girls so that "optimally effective" tobacco education programs may be tailored. This pilot project aims to investigate knowledge, attitudes, perceptions, and sociocultural factors that may be related to the high tobacco use among Native Hawaiian and Filipina girls in Hawaii, using community-based participatory research approaches, to develop future innovative culturally-based youth delivered anti-smoking prevention and cessation interventions. This project partners with six community organizations who represent advocates for the Native Hawaiian and Filipino communities, youth health promotion, and tobacco prevention and control in Hawaii. The partners will provide guidance and assistance with planning and implementing this project. Peer facilitators will lead 12-15 ethnically separate focus groups comprised of 6-10 Native Hawaiian and Filipino girls at middle and high schools where the community partners have existing relationships. Focus group questions posed will cover facilitators and barriers toward smoking and strateiges to prevent or stop smoking among their peers. Data analysis will facilitate reliability and validity of the qualitative procedures. The PL and co-PL will separately review notes and audio recordings, and completed data analysis forms will be reviewed together to compare common themes, discuss, and resolve discrepancies. Results will inform a youth led, anti-smoking program relevant for Native Hawaiian and Filipina girls.